Penis/Scrotum Reconstruction

46 year old male with congenital lymphedema (blockage of lymph drainage in the tissues) of the genitals and lower extremity. His scrotum was massively enlarged, whereas his penis was only moderately involved. The entire skin and tissues of the scrotum were removed except for the testicles, which were not involved. A split thickness skin graft was placed on the testicles to reconstruct the scrotum. The penis was not reconstructed except for a portion on the underside near his scrotum.

Pre Op

Post Op

after about six months

after about six months

25 year old male who had a severe burn of his abdomen, penis, and scrotum. He was initially treated with skin grafts and burying his testicles in his groin. I removed the skin grafts from his penis, mobilized this testicles, placed a thicker skin graft on his penis, and placed skin grafts on his testicles to reconstruct his scrotum.

Pre Op

Post Op

84 year old male with a long history of a hidden penis that caused destruction of his penile skin. Multiple other doctors unsuccessfully tried to treat him surgically. He underwent a pubic lift with tacking and skin grafts on his penis.

Pre Op

Post Op

at one year

at one year

35 year old male who had “flesh eating bacteria” or necrotizing fasciitis to his abdomen,

penis, and scrotum. He also had destruction of his urethra or urinary channel. He was initially treated with thin skin graft to his abdomen and penis with burying of his testicle into this inner thighs. He underwent removal of the thin graft on his penis with replacement with a thicker graft, mobilization of his testicles with creation of a scrotum with skin grafts, and reconstruction of his urethra. The reconstruction required two lengthy operations. He is now able to urinate through his penis.

Pre Op

Post Op

after 4 months

after 4 months

The two below are also on hidden penis under penis enhancement

53 year old male who had a hidden penis and then developed chronic inflammation of the penile skin and head of the penis. The penile skin ulcerated and scarred causing chronic pain, inability to pull his penis out of his pubic fat, and inability to have sexual intercourse. He had to sit to urinate and could not void with a stream. The patient underwent removal of suprapubic fat with tacking, excision of all penile shaft skin, and placement of a thick split thickness skin graft. His pain is now gone, and he can now void while standing and have sexual intercourse.

Pre Op

Post Op

45 year old male with a severe buried penis with inability to pull out his penis. He had massive weight loss after gastric bypass surgery. The penile skin was damaged from chronic inflammation and dampness. He had previous unsuccessful attempts to correct the buried penis by other physicians. I performed a suprapubic excision of excess skin and fat, tacking of the pubic tissues to the underlying fascia, excision of all his damaged penile skin, and grafting of thigh skin onto the penis. The photos are 3 months postoperation. The residual penile swelling will decrease over the next 1-2 years.